Individual
CARALISE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
719B SE MAIN ST, SIMPSONVILLE, SC 29681-3237
(864) 233-5128
Mailing address
981 MCABEE RD, SPARTANBURG, SC 29306-6407
(864) 909-9799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11621
SC
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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